OMB control number
Pre-Claim Review Demonstration For Home Health Services (CMS-10599)
OMB 0938-1311 · HHS/CMS.
The Centers for Medicare & Medicaid Services (CMS) is requesting the Office of Management and Budget (OMB) approval for the Pre-Claim Review Demonstration for Home Health Services. This demonstration would help assure that payments for home health services are appropriate before the claims are paid, thereby preventing fraud, waste, and abuse. CMS proposes performing prior authorization before processing claims for home health services in: Florida, Texas, Illinois, Michigan, and Massachusetts.
The latest form for Pre-Claim Review Demonstration For Home Health Services (CMS-10599) expires 2027-12-31 and can be found here.
Document Name |
|---|
Form |
Supporting Statement A |
Form CMS-10599 HH Demo Fax and Electronic Submissions and Resubmissions (16 States)
CMS-10599 Supporting Statement .docx
HH Demo - Home Health Agency Education (16 States) | Extension without change of a currently approved collection | 2025-09-22 | ||
|
Approved with change |
Reinstatement with change of a previously approved collection | 2022-05-10 | |
|
Approved with change |
Revision of a currently approved collection | 2018-10-10 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2016-06-24 |
HH Demo Fax and Electronic Submissions and Resubmissions (16 States)
Federal Enterprise Architecture: Health - Health Care Services
| Form CMS-10599 | Home Health Instrument | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.